Active NPI
Heather Jo Peterson Gulian, NP-C
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1053682807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60266522
- Practice address
- 1742 Market St
Ste 102
Tacoma, WA 98402-3223 - Phone
- (253) 692-5811
- Fax
- (253) 692-4768
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60112793 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60266522 | WA | Primary |
Addresses
Primary practice location
1742 Market St
Ste 102
Tacoma, WA 98402-3223
Mailing address
1742 Market St
Ste 102
Tacoma, WA 98402-3223
Phone (253) 692-5811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0299850 | Other | WA | STATE L&I |
| 0302436 | Other | WA | STATE L&I |
| 0302680 | Other | WA | STATE L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60112793 | WA | MD | Registered Nurse |
| AP60266522 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Caulkins, D.O. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bremerton, WA
- NPI 1033320007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1053682807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 MARKET ST",
"address_2": "STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023223",
"telephone_number": "253-692-5811",
"fax_number": "253-692-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 MARKET ST",
"address_2": "STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023223",
"telephone_number": "253-692-5811",
"fax_number": "253-692-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULIAN",
"first_name": "HEATHER",
"middle_name": "JO PETERSON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60112793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60266522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0299850",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0302436",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0302680",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.